Unicompartmental Knee Arthroplasty in the ACL Deficient Knee
Tuesday F Fisher*
Assistant Professor of Surgery, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA
*Corresponding Author: Tuesday F Fisher, Assistant Professor of Surgery, Department of Surgery, Uniformed Services University of the Health Sciences, Bethesda, USA.
Received:
July 18, 2022; Published: August 16, 2022
Abstract
Unicompartmental osteoarthritis in young, active patients with concomitant ACL deficiency is controversial problem. Several different operative treatment options exist including unicompartmental knee arthroplasty, high tibial osteotomy (HTO), and total knee arthroplasty [1]. Total knee arthroplasty (TKA) has a very high success rate and is a comprehensive procedure that would address knee pain as well as instability related to ACL insufficiency [2,3]. However, contemporary literature benefits of UKA over TKA including preservation of bone stalk, physiologic knee kinematics, lower perioperative morbidity and accelerated rehabilitation [4-9]. TKA may also impart unacceptable activity restrictions in a physiologically young patient with specific physical demands. As an alternative, UKA and HTO have been used with or without concomitant ACL reconstruction. Early results for UKA have been most promising; however, controversy still remains as to its role in the treatment of this population.
Keywords: Unicompartmental; Knee; Arthroplasty; ACL Deficient
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